"I totally understand the importance of enjoying sex," George Johnson writes. "But I also know it is even more important to make sure one is doing so safely -- and lube can play a major role in that process."

"As with all sexual and health choices, it's my decision about my body," says Evan J. Peterson, who continues to use condoms after two years on PrEP. "That doesn't mean I judge you for your choice not to use them."

"As someone who is in a mixed-status relationship where treatment as prevention (TaSP) is our chosen form of protection, I felt it was important to participate in the Undetectable = Uninfectious project," Josh Middleton writes.

It's sexual shame and stigma that can get in the way of safety -- not edgy sex and power play, says Dr. Tony Mills, a former International Mr. Leather and an HIV doctor who counts many kinksters among his patients.

Watch five men living with HIV discuss what it means to have a healthy sex life -- and the possibility of having children. Plus, get providers' tips on care, disclosure and safer conception and birth control.

"After my husband disclosed his status to me, I did some research to find out what my risk would be if we had condomless sex," writes Caroline Watson. Using treatment as prevention (TasP) enabled them to have a healthy and HIV-free daughter.

One of the core concepts of the kink community is negotiation, which is a great skill for all sexual people to know. Learn more about the kink community from a three-decade-long HIV-positive kink community member.